Active NPI
Jackson Resource Center
- Adult Day Care Clinic/Center
- Jackson, MS
National Provider Identifier
1083510671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- JACKSON RESOURCE CENTER
- Practice address
- 1129 Langley Ave
Jackson, MS 39204-3115 - Phone
- (769) 218-0008
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Putalamus White
- Title
- Executive Director
- Phone
- (601) 906-1591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1129 Langley Ave
Jackson, MS 39204-3115
Mailing address
5261 Greenway Drive Ext
Jackson, MS 39204-3212
Phone (769) 218-0008
National Provider Directory
National Provider DirectoryLocations
5261 Greenway Drive Ext
Jackson, MS 39204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1083510671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5261 GREENWAY DRIVE EXT",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043212",
"telephone_number": "769-218-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 LANGLEY AVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043115",
"telephone_number": "769-218-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON RESOURCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "PUTALAMUS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "601-906-1591",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Jackson Public Schools Northwest Clinic
- Jackson Public Schools Timberlawn Clinic
- Jackson Pulmonary Associates, PA
- Jackson Radiology Assoc, PA
- Jackson Rehab and Wellness Center
- Jackson State University (SMHART Institute)
- Jackson State University (Jackson State University Sports Medicine)
- Jackson Surgical Group PA
- Jackson Thyroid & Endocrine Clinic PLLC
- Jackson VA Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.